13 results
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the reticular pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern ... Differential #Algorithm #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... reticular, nodular ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #CTChest #GGO #
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... The differential diagnosis ... are confluent, HRCT ... #Clinical #Radiology ... #CTChest #GGO #
Tree-in-Bud Sign on Chest CT
 • Multiple centrilobular nodules arranged in a linear branching pattern.
 •
Tree-in-Bud Sign ... on Chest CT • ... centrilobular nodules ... linear branching pattern ... #diagnosis #radiology
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... with a benign pattern ... definitive tissue diagnosis ... #Management #Radiology ... #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
(dark bronchus sign ... fine reticular pattern ... excluding UIP as diagnosis ... #Clinical #Radiology ... #CTChest #NSIP